Physical Therapy for Fall Prevention among the Elderly
By John R. Mishock PT, DPT, DC;
Owner of Mishock Physical Therapy & Associates
Falling is a common and serious problem for the elderly. Falls are associated with injury, decreased independent function, premature admission to nursing homes, and even early death.
The incidence and severity of complications related to falling increases steadily after age 60. In 2005, more than 1.6 million seniors were treated in emergency departments for fall-related injuries. About one third of individuals over age 65 fall each year and 10% of those sustain serious fractures. About 50% of those who sustain a fracture do not fully recover and many lose independence for life. Those who sustain a hip fracture are at greatest risk for such complications as: immobility, disability, and death. Out of individuals who fall, 30% to 50% sustain soft tissue injuries (hematomas, sprains, strains, or dislocations).
Common Factors Leading to Falls:
- Decreased balance and strength of the legs
- Uneven ground or poor lighting
- Diseases: Parkinson's, seizures, diabetes, arthritis, orthostatic hypotension, dizziness, neuropathy
- Taking more than four medications; especially sedatives, antidepressants, & anti-hypertension drugs
- Any conditions that impairs safe judgment; fear, anxiety, depression, delirium, & dementia
Once you have identified the risk factors for falling, it's important to make strides to prevent falls. There are basic strategies and techniques that can be implemented to reduce your chance of falls.
Fall Prevention Tips:
- Use nonskid rugs.
- Handrails on the stairs.
- Grab bars near toilets, bathtubs/shower stalls.
- Proper lighting in-door and out.
- Reduce clutter on the floor.
- Tuck electrical or phone cords out of the way.
- Move commonly used items to lower cabinets or shelves.
We Can Help You Prevent Falls!
At Mishock Physical Therapy & Associates our physical therapists work to prevent injuries by identifying individuals who are at risk for falls. A comprehensive physical therapy fall evaluation is performed that includes: a thorough history, muscle strength evaluation, balance assessment, and functional mobility assessment. Once the impairments are identified our physical therapy team works with the patient to develop a treatment plan that will help to minimize or prevent future falls. The treatments consist of balance training, endurance/strength training, and education on how falls can be prevented. Ultimately, we transition their program into the home environment for long-term benefits.
*To note, Medicare covers Fall Prevention Physical Therapy so call 610-327-2600 to make your appointment today at one of our 4 convenient locations (Gilbertsville, Phoenixville, Skippack, Barto)! If you have questions regarding Fall Prevention please email Dr. Mishock at mishockpt@ comcast.net! Dr. Mishock is one of a few licensed physical therapists and chiropractors with doctorate level degrees in the state of Pennsylvania.
